PHARMACOTHERAPEUCITS
1. Which of the following purpose of Oxytocin (Pitocin) is given after delivery of the baby
and placenta?
(a) To increase the blood pressure
(b) To prevent the uterus from inverting
(c) To decrease the risk of PPH
(d) To prevent rupture of the uterus [c]
Explanation: –
– When Oxytocin is administered after delivery of the placenta; it causes the uterus to contract,
which decreases the risk for postpartum haemorrhage according to priority. The client's
blood pressure should be monitored closely because hypertension is a side effect of this
medication. Also, uterine rupture may occur with the hyper stimulation of the uterus.
2. The Oxytocin is usually given after the placenta has been delivered and not before
because:
(a) Oxytocin will prevent bleeding
(b) Oxytocin can make the cervix close and thus trap the placenta inside
(c) Oxytocin will facilitate placental delivery
(d) Giving oxytocin will ensure complete delivery of the placenta [b]
Explanation: –
– The action of Oxytocin is to make the uterus contract as well make the cervix close. If it is
given prior to placental delivery, the placenta will be trapped inside because the action of the
drug is almost immediate if given parentally.
3. The drug usually given parentally to enhance uterine contraction is:
(a) Terbutalline
(b) Pitocin
(c) Magnesium sulfate
(d) Lidocaine [b]
Explanation: –
– Pitocin, The common Oxytocin given to enhance uterine contraction is pitocin. This is also the
drug given to induce labor
4. Following are the methods of induction of labor EXCEPT:
(a) Artifical rupture of membrane (ARM)
(b) Methergin
(c) Oxytocin
(d) Prostaglandin [b]
Exp. :–
– Methergin (methyl ergonovine) never administer before delivery of shoulder of baby.
5. When uterus is over-stimulated by oxytocin, which of following signs nurse can identify:
(a) Weak uterine contractions prolonged to more than 90 sec
(b) Increased labour pain with bright red vaginal bleeding
(c) Tetanic contractions prolonged for more than 90 sec
(d) Increased restlessness with pain [c]
Exp. :–
– Optimum response of oxytocin infusion is 45 second contraction 3 times in 10 minutes.
1. Which of the following purpose of Oxytocin (Pitocin) is given after delivery of the baby
and placenta?
(a) To increase the blood pressure
(b) To prevent the uterus from inverting
(c) To decrease the risk of PPH
(d) To prevent rupture of the uterus [c]
Explanation: –
– When Oxytocin is administered after delivery of the placenta; it causes the uterus to contract,
which decreases the risk for postpartum haemorrhage according to priority. The client's
blood pressure should be monitored closely because hypertension is a side effect of this
medication. Also, uterine rupture may occur with the hyper stimulation of the uterus.
2. The Oxytocin is usually given after the placenta has been delivered and not before
because:
(a) Oxytocin will prevent bleeding
(b) Oxytocin can make the cervix close and thus trap the placenta inside
(c) Oxytocin will facilitate placental delivery
(d) Giving oxytocin will ensure complete delivery of the placenta [b]
Explanation: –
– The action of Oxytocin is to make the uterus contract as well make the cervix close. If it is
given prior to placental delivery, the placenta will be trapped inside because the action of the
drug is almost immediate if given parentally.
3. The drug usually given parentally to enhance uterine contraction is:
(a) Terbutalline
(b) Pitocin
(c) Magnesium sulfate
(d) Lidocaine [b]
Explanation: –
– Pitocin, The common Oxytocin given to enhance uterine contraction is pitocin. This is also the
drug given to induce labor
4. Following are the methods of induction of labor EXCEPT:
(a) Artifical rupture of membrane (ARM)
(b) Methergin
(c) Oxytocin
(d) Prostaglandin [b]
Exp. :–
– Methergin (methyl ergonovine) never administer before delivery of shoulder of baby.
5. When uterus is over-stimulated by oxytocin, which of following signs nurse can identify:
(a) Weak uterine contractions prolonged to more than 90 sec
(b) Increased labour pain with bright red vaginal bleeding
(c) Tetanic contractions prolonged for more than 90 sec
(d) Increased restlessness with pain [c]
Exp. :–
– Optimum response of oxytocin infusion is 45 second contraction 3 times in 10 minutes.
